Dr Mark T Keidel, MD, MPH - Medicare Family Medicine in Patton, CA

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Dr Mark T Keidel, MD, MPH is a medicare enrolled "Family Medicine" physician in Patton, California. His current practice location is 3102 E Highland Ave # Admin150, Patton, California. You can reach out to his office (for appointments etc.) via phone at (909) 425-7000.

Dr Mark T Keidel is licensed to practice in California (license number A76937) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134154263.

Contact Information

Dr Mark T Keidel, MD, MPH
3102 E Highland Ave # Admin150,
Patton, CA 92369-7813
(909) 425-7000
(909) 425-6169

Map and Direction




Physician's Profile

Full NameDr Mark T Keidel
GenderMale
SpecialityFamily Medicine
Location3102 E Highland Ave # Admin150, Patton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134154263
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951496629
  • Enrollment ID: I20070926001192

Medical Identifiers

Medical identifiers for Dr Mark T Keidel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134154263NPI-NPPES
00A769370MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A76937 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark T Keidel allows following entities to bill medicare on his behalf.
Entity NameBeaver Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649503319
PECOS PAC ID: 0547164295
Enrollment ID: O20031124000449
Entity NameDepartment Of State Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark T Keidel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark T Keidel, MD, MPH
3102 E Highland Ave # Admin150,
Patton, CA 92369-7813

Ph: (909) 254-8279		Dr Mark T Keidel, MD, MPH
3102 E Highland Ave # Admin150,
Patton, CA 92369-7813

Ph: (909) 425-7000

Reviews and Comments


Family Medicine Doctors in Patton, CA

Marianita Aralar Raymundo, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7000    
Mrs. Stephanie Anh-hang Nguyen, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635
Trang Tran, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635
Rainer Guerra Bansuan, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-815-0965    
Dr. Robert Lin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3102 E Highland Ave, Patton Medical Services, Patton, CA 92369
Phone: 909-425-7000    
Dr. Mohamed Amr Hafez, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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